Rowansom Nutritional Therapy

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

ROWANSOM NUTRITIONAL THERAPY

Practice address

42 E Laurel Rd
Udp#2500
Stratford, NJ 08084-1354

Phone

(856) 566-2700

Fax

(856) 566-6873

NPI assigned

Jul 20, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Rieker

Title

Interim Chief Financial Officier

Phone

(856) 770-5772

Specialties & licenses 1

Addresses

Other names 1

• UMDNJ-SOM Nutritional Therapy Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1609164995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080990635",
            "telephone_number": "856-566-6706",
            "fax_number": "856-566-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD",
            "address_2": "UDP#2500",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-2700",
            "fax_number": "856-566-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWANSOM NUTRITIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "RIEKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "INTERIM CHIEF FINANCIAL OFFICIER",
        "authorized_official_telephone_number": "856-770-5772"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMDNJ-SOM Nutritional Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Registered Dietitian in Stratford, NJ
• Providers in Stratford, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.